Screening for organic mental syndromes in the medically ill.

A brief mental status questionnaire adapted specifically to diagnose diffuse organic diffuse organic mental syndromes on busy medical words is developed and tested for reliability and validity. When the 30-item questionnaire was given to 17 medical patients diagnosed by consultation spychiatrists as having a diffuse organic mental syndrome, all score 20 or less. With hospitalized psychiatric patients the questionnaire was able to differentiate between the "functional psychoses" and diffuse organic brain syndromes. When administered to 69 consecutive medical admissions, fully one third showed marked cognitive limitations. A sample of normals suggested that results may be contaminated by severe cultural or educational variances. We discuss the role of cognitive dificiencies in medical patients, and suggestions are made regarding the broad usefulness of this questionniare to a medical service.